DPHI Planning Panels 2027–2030 — Expression of Interest

DPHI Planning Panels 2027–2030 — Expression of Interest

Provide your personal details to submit your interest for the 2027–2030 planning panels.
Section 1 — Personal details
First name
Last name
Preferred name
Optional. For correspondence use.
Post nominals
Date of birth

DayMonthYear
Date
Gender
Mobile number
Please enter a valid phone number.Format: (00) 0000-0000.
Email address
example@example.com
Residential address

Street Address

Street Address Line 2
City/SuburbStatePostcode
Do you identify as someone with and Aboriginal and/or Torres Strait Islander background?
Do you identify as a person living with a disability?
Do you identify as being of a culturally or linguistically diverse background?

Section 2 — Screening questions
Please answer the questions on this page carefully. If you need to change any answer on this page, please do not use your browser's back button. Refresh the form and start again to make sure your answers are recorded correctly.
Are you currently a councillor?
Have you ever been a councillor?
On what date did or does that role end?

DayMonthYear
Date
Which council(s) and what were the dates of service?
Are you currently employed by DPHI or a local council?
On what date does that employment end?

DayMonthYear
Date
Are you a property developer within the meaning of section 53 of the Electoral Funding Act 2018?
Are you a real estate agent within the meaning of the Property and Stock Agents Act 2002?
Are you currently bankrupt, insolvent, or have you compounded with creditors?
Have you previously been appointed to a council Local Planning Panel?
Please list each LPP, the dates of service, and total years served.
Are you able to receive payment as an individual through payroll (not via a company, trust, or ABN invoice)?
Based on your responses, you may not currently meet the eligibility criteria for these panels. You do not need to complete the rest of this form. If you believe this is incorrect, please contact Orchard Talent Group.

Section 4 — Role preference
I am applying for (select all that apply)
Available to commence from

DayMonthYear
Date
Able to commit to full term?
Please explain any limitations on your availability
Chair skills — facilitation and mediation experience
Describe your experience in facilitation, group decision-making, public consultation or mediation.

Section 6 — Referees
Referee 1 — Full name
Referee 1 — Title and organisation
Referee 1 — Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Referee 1 — Email address
example@example.com
Referee 1 — Relationship to applicant
How do you know this referee and in what capacity have they observed your work?
Referee 2 — Full name
Referee 2 — Title and organisation
Referee 2 — Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Referee 2 — Email address
example@example.com
Referee 2 — Relationship to applicant
How do you know this referee and in what capacity have they observed your work?

Section 7 — Probity consent and declaration
Full legal name (confirm)
Date of birth (confirm)

DayMonthYear
Date
I consent to a national police check being conducted
I consent to a bankruptcy check being conducted
I consent to verification of my qualifications
I consent to a check of the public register of real estate agents
I consent to a check of the NSW Electoral Commission councillor register
Declaration of accuracy
Electronic signature

Sign with your mouse or touchscreen.
Date of submission

DayMonthYear
Date
Based on your responses, you do not currently meet the eligibility criteria for these panels. If you believe this is incorrect, please contact Orchard Talent Group.